有氧运动肺康复治疗在慢性阻塞性肺疾病患者中的应用及效果研究  

作　　者：陈云辉[1] 韦红泉[1] 刘银辉[1] 郑利先[1] 罗巍[1] 曾博文[1] 陈自瑜[1] 

机构地区：[1]广东医学院附属三水医院呼吸内科,广东佛山528100

出　　处：《中国医师进修杂志》2013年第13期5-8,共4页Chinese Journal of Postgraduates of Medicine

基　　金：广东省佛山市科技计划（201108265）

摘　　要：目的探讨有氧运动肺康复治疗在慢性阻塞性肺疾病（COPD）患者中的应用及效果。方法选择2011年6月至2012年6月住院治疗的94例COPD患者为研究对象，观察并比较有氧运动肺康复治疗对COPD的I临床疗效和安全性。结果治疗后3个月，第1秒用力呼气容积（FEV。）和用力肺活量（FVC）明显优于治疗前[（3．25±0．49）L比（2．59±0．55）L，（1．95±0．41）L比（1．44±0．48）L]，差异有统计学意义（P〈0．05），而FEV。／FVc治疗前后比较差异无统计学意义（P〉0．05）；治疗后3个月，动脉血氧分压、动脉血氧饱和度均显著上升[（87．61±8．56）mmHg（1mmHg=0．133kPa）比（63．88±8．79）mmHg，0．9648±0．0449比0．7632±0．0477]，动脉血二氧化碳分压显著下降[（30．57±9．47）mmHg比（49．23±9．54）mmHg]，差异有统计学意义（P〈0．05）。治疗前后患者的血压和心率比较差异无统计学意义（P〉0．05），且未见明显的不良反应。结论有氧运动肺康复治疗能明显改善COPD患者的肺功能，安全可靠，不良反应少，值得推广运用。Objective To investigate the application and effect of aerobic exercise of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD).Methods Ninety-four hospitalized patients with COPD from June 2011 to June 2012 were enrolled.The clinical curative effect and safety of aerobic exercise of pulmonary rehabilitation in patients with COPD were observed and compared.Results After 3 months treatment,first second forced expiratory volume (FEV1) and forced vital capacity (FVC) were increased compared with those before treatment [(3.25 ± 0.49) L vs.(2.59 ± 0.55) L,(1.95 ± 0.41) L vs.(1.44 ± 0.48) L],and there were significant differences (P ＜ 0.05).There was no significant difference in FEV1/FVC before and after treatment (P ＞ 0.05).After 3 months treatment,arterial partial pressure of oxygen and arterial oxygen saturation were increased compared with those before treatment [(87.61 ± 8.56) mm Hg(1 mm Hg =0.133 kPa) vs.(63.88 ± 8.79) mm Hg,0.9648 ±0.0449 vs.0.7632 ± 0.0477],partial pressure of arterial carbon dioxide was decreased compared with that before treatment [(30.57 ± 9.47) mm Hg vs.(49.23 ± 9.54) mm Hg],and there were significant differences (P ＜ 0.05).There was no signifi.cant difference in blood pressure and heart rate before and after treatment (P＞ 0.05).No obvious adverse reactions were observed.Conclusions The aerobic exercise of pulmonary rehabilitation can improve significantly lung function.It is safe and rehable,and has less adverse reaction in patients with COPD.It is worthy of promotion and use.

关 键 词：肺疾病 慢性阻塞性 治疗结果 有氧运动 肺康复治疗 

分 类 号：R563.9[医药卫生—呼吸系统]